Episode 191: Why a Great Group Practice Beats Going Solo: Dialectics, Support, and Less Stress [featuring Sabrina Longley]
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In this episode, Patrick Casale and Sabrina Longley, LCSW at Resilient Mind Counseling, talk about why authenticity, open communication, and a supportive work environment matter so much for therapists who’d rather work for someone else than run their own practice. They also share how embracing your identity and using dialectics can boost confidence and create a healthier, more collaborative workplace.
Here are 3 key takeaways:
- The Power of Authenticity: Sabrina beautifully highlights how living authentically at the intersection of her identities (Black, fat, neurodivergent, extroverted, and more) has been non-negotiable for her well-being and effectiveness as a therapist. When workplaces embrace this authenticity, it fuels real connection and reduces burnout.
- Entrepreneurship isn't for Everyone: There’s immense value in group practice—especially for those who crave structure, community, and stability. Sabrina reminds us that thriving as a therapist doesn’t require running your own business; finding the right container can be just as empowering.
- Leadership is About Relationship, Not Just Revenue: Patrick’s approach as a group practice owner—centering transparency, vulnerability, and accountability—creates psychological safety for his team. Open communication, a willingness to receive feedback, and acknowledging power dynamics are essential for retention and growth.
Whether you’re a therapist seeking the right clinical setting or a practice leader looking to build an inclusive and supportive team, these insights are a great reminder: You can build (and find) workplaces where everyone has permission to show up as themselves.
More about Sabrina:
I'm an LCSW working in NC with no dreams of becoming a private practice owner. Instead, I have been seeking (and have found) my therapeutic "home". I hold many intersectional identities, and finding the right fit has taken hard work and lessons learned. I live in the triangle area of NC and have worked in IOP and outpatient level of care.
- Sabrina's Profile: resilientmindcounseling.com/sabrina-longley-lcsw
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Thanks to Our Sponsors: The Receptionist for iPad, Alma, & All Things Private Practice — 2025 & 2026 Retreats!
Thanks to The Receptionist for iPad for sponsoring this episode.
The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option.
✨ Alma
Thanks to Alma for sponsoring this episode.
Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.
✨ All Things Private Practice — 2025 & 2026 Retreats
All Things Private Practice has some amazing retreat experiences coming up in 2025 and 2026.
Join us in Edinburgh, Scotland, for the second Doubt Yourself, Do It Anyway Summit from July 14th to 17th, 2025! We have an incredible lineup of 12 speakers and offer 12 MBCCEs. If you're a leader or aspiring to start a group practice, join our Leadership Retreat in Chania, Crete, from September 6th to 11th. In 2026, we have two retreats in Queenstown, New Zealand. The first is for Neurodivergent Entrepreneurs from March 1st to 8th, and the second retreat, Beyond Private Practice, focuses on moving beyond one-on-one therapy and creating alternative income streams from March 15th to 22nd.
Spaces are limited, so check the links to sign up today. Doubt yourself, do it anyway!
- Doubt Yourself, Do It Anyway Summit in Scotland: empoweredescapes.com/scotland-july-2025-summit
- Leadership Retreat in Chania, Crete: empoweredescapes.com/greece-retreat-2025
- Neurodivergent Entrepreneurs in Queenstown, New Zealand: allthingspractice.com/new-zealand-neurodivergent
- Beyond Private Practice in Queenstown, New Zealand: allthingspractice.com/new-zealand-income-streams
Mentioned in this episode:
The Receptionist for iPad
I want to thank The Receptionist for iPad for sponsoring this episode. From new patients faced with an empty lobby and no idea where to find their therapist to clinicians with a session running over time and the doorbell ringing, some of the most anxiety-ridden moments of a therapy appointment happen before a session even starts. The Receptionist for iPad, helps you tackle some of that pre-appointment apprehension and anxiety. The Receptionist for iPad is an easy-to-use digital client check-in system that helps your visitors check in securely to their appointments and notify their practitioners of their arrival via SMS, email, or your preferred channel. No more confusion, and less lobby checking or having clients sign in on paper logbooks. It can even help you upgrade and update your demographic information for your clients as well and even validate parking. Start a 14-day free trial of the Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link and you'll also get your first month free if you decide to sign up.
Alma
I want to thank Alma for sponsoring this episode. Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details, and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.
All Things Private Practice — 2025 & 2026 Retreats
All Things Private Practice has some amazing retreat experiences coming up in 2025 and 2026. Join us in Edinburgh, Scotland for the second Doubt Yourself, Do It Anyway Summit from July 14th to 17th, 2025! We have an incredible lineup of 12 speakers and offer 12 MBCCEs. If you're a leader or aspiring to start a group practice, join our Leadership Retreat in Chania, Crete, from September 6th to 11th. In 2026, we have two retreats in Queenstown, New Zealand. The first is for Neurodivergent Entrepreneurs from March 1st to 8th, and the second retreat, Beyond Private Practice, focuses on moving beyond one-on-one therapy and creating alternative income streams from March 15th to 22nd. Spaces are limited, so check the links to sign up today. Doubt yourself, do it anyway! Doubt Yourself, Do It Anyway Summit in Scotland: https://www.empoweredescapes.com/scotland-july-2025-summit Leadership Retreat in Chania, Crete: https://www.empoweredescapes.com/greece-retreat-2025 Neurodivergent Entrepreneurs in Queenstown, New Zealand: https://www.allthingspractice.com/new-zealand-neurodivergent Beyond Private Practice in Queenstown, New Zealand: https://www.allthingspractice.com/new-zealand-income-streams
191 episodes